Individual provider Active NPI

Margot Tuliao Ocampo, M.D.

  • Family Medicine Physician
  • Chicago, IL
National Provider Identifier
1760520464
Registry record updated Dec 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036-096704 Issued in IL
Practice address
1044 N Mozart St Ste 100
Chicago, IL 60622-3644
Phone
(773) 292-8300
NPI assigned
Feb 2, 2007
Last updated
Dec 26, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036-096704 IL Primary

Addresses

Primary practice location

1044 N Mozart St Ste 100
Chicago, IL 60622-3644

Mailing address

15618 Innsbrook Dr
Orland Park, IL 60462-5084
Phone (773) 784-5988

Other practice location 1

5140 N California Ave
700
Chicago, IL 60625-3645
Phone (773) 784-5988

Other identifiers 1

IdentifierTypeStateIssuer
036-096704MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110401000746 IL Practitioner - Family Practice 4789868506 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036-096704ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
PCC Community Wellness Center CurrentSince Jan 12, 2019 Accepting new patients
PCC Community Wellness Center CurrentSince Jan 12, 2019 Accepting new patients
PCC Community Wellness Center PastSince Jan 17, 2019 Accepting new patients
Healthcare Management Consulting and Staffing of Chicago PastSince Aug 7, 2022 Accepting new patients
Chen Medical Center LLC Family Medicine Past Accepting new patients

Locations

1044 N Francisco Ave
Chicago, IL 60622
Phone (773) 292-8227

2434 W Division St
Chicago, IL 60622
Phone (773) 486-8820

14 Lake St
Oak Park, IL 60302
Phone (708) 383-0113

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577318400000",
    "number": "1760520464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15618 INNSBROOK DR",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604625084",
            "telephone_number": "773-784-5988",
            "fax_number": "773-784-0771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1044 N MOZART ST STE 100",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606223644",
            "telephone_number": "773-292-8300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5140 N California Ave",
            "address_2": "700",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606253645",
            "country_code": "US",
            "telephone_number": "773-784-5988",
            "fax_number": "773-784-0771",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OCAMPO",
        "first_name": "MARGOT",
        "middle_name": "TULIAO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-02",
        "last_updated": "2019-12-26",
        "certification_date": "2019-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036-096704",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036-096704",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.